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Journal of Autism and Developmental Disorders

29-06-2024 | Original Article

The Role of Adverse Childhood Experience in the Relationship Between Autism Severity and Early Intervention and Special Education Plan

Auteurs: Rafaella Stein Elger, Suman Kanti Chowdhury, Maria Pacheco Garrillo, Rachel Sauls, Suruthi Sundaramurugan, Emily Rozen, Harsha Puri, Dowensly Jean Brice, Jing Liu, Chighaf Bakour, Russell S. Kirby

Gepubliceerd in: Journal of Autism and Developmental Disorders

Abstract

The purpose of this study is to examine the association between autism spectrum disorder (ASD) severity and having a special education or early intervention plan and the impact of adverse childhood experiences (ACEs) on this association. This study used the 2020–2021 National Survey of Children’s Health (NSCH) and included 2,537 children aged 3–17 years old who currently have ASD. Multivariable logistic regression, controlling for demographic and family characteristics and health status, was used to explore the association between autism severity and having an early intervention plan. The analysis was stratified by the number of ACEs to explore their role in the association. Children with moderate or severe ASD were more likely to have a special education or early intervention plan than those with mild ASD in the crude and adjusted models. This association continued to be true for children who experienced 1 ACE (aOR: 2.28, 95%CI: 1.09–4.77) but not true for those who experienced no ACEs (aOR: 1.16, 95%CI: 0.70–1.94) and 2 or more ACEs (aOR: 1.84, 95%CI: 0.92–3.69). Results demonstrate that children with moderate or severe autism were more likely to receive early intervention or special education. This association changed depending on the number of ACEs experiences.

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Titel: The Role of Adverse Childhood Experience in the Relationship Between Autism Severity and Early Intervention and Special Education Plan
Auteurs: Rafaella Stein Elger
Suman Kanti Chowdhury
Maria Pacheco Garrillo
Rachel Sauls
Suruthi Sundaramurugan
Emily Rozen
Harsha Puri
Dowensly Jean Brice
Jing Liu
Chighaf Bakour
Russell S. Kirby
Publicatiedatum: 29-06-2024
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-024-06444-w

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